title: Alternative bearings in total hip arthroplasty in the young patient.
abstract: Total hip arthroplasty is an effective treatment option for advanced hip arthritis in elderly patients. Studies in young patients have traditionally shown less durable results. With current implants, surgical technique, and cementless fixation methods, the durability of total hip arthroplasty may now be related to the wear performance of the bearing surfaces. To improve implant longevity, there are several bearing surface choices currently available for this demanding group of patients. Alternatives must be evaluated in terms of the risks and benefits associated with each articulation, and all new technologies must be carefully monitored over the long term.
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, 200 First Street Southwest, Gonda 14, Rochester, MN 55905, USA.
authors.forename: Atul F
authors.initials: AF
authors.lastname: Kamath
authors.forename: Hernan
authors.initials: H
authors.lastname: Prieto
authors.forename: David G
authors.initials: DG
authors.lastname: Lewallen
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D001672:Biocompatible Materials; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012042:Registries
chemical_list: D001672:Biocompatible Materials
keywords: Alternative bearings; Ceramic; Highly cross-linked polyethylene; Implant wear; Metal on metal; Total hip arthroplasty (replacement); Young patient